The advantages of carbon dioxide laser applications in paediatric oral surgery. A prospective cohort study

• Published in: Lasers in medical science 2016-11, Vol.31 (8), p.1527-1536
• Main Authors: Hanna, R., Parker, S.
• Format: Article
• Language: English
• Subjects: Adolescent; Carbon dioxide; Carbon dioxide lasers; Child; Child, Preschool; Dentistry; Dentofacial Deformities - surgery; Female; Humans; Laser surgery; Laser Therapy; Lasers; Lasers, Gas - therapeutic use; Male; Medicine; Medicine & Public Health; Optical Devices; Optics; Oral diseases; Oral Surgical Procedures - adverse effects; Oral Surgical Procedures - methods; Original Article; Paediatrics; Pain; Pain, Postoperative - epidemiology; Patients; Pediatrics; Perception; Photonics; Postoperative Period; Prospective Studies; Quantum Optics; Surgery; Treatment Outcome
• ISSN: 0268-8921; 1435-604X
• DOI: 10.1007/s10103-016-1978-8

The aim of this study is to evaluate and demonstrate the advantages of the carbon dioxide laser in paediatric oral surgery patients in terms of less post-operative complications, healing without scaring, functional benefits, positive patient perception and acceptance of the treatment. One hundred fit and healthy paediatric patients (aged 4–15 years) were recruited to undergo laser surgery for different soft tissue conditions. The outcome of these laser treatments was examined. The Wong-Baker Faces Pain Rating Scale was employed to evaluate the pain before, immediately after laser treatment in the clinic and 1 day after post-operatively at home. Post-operative complications and patients’ perception and satisfaction were self-reported during a review telephone call the day after treatment. The patients were reviewed 2 weeks after surgery. Laser parameter was 1.62 W, measured by power meter, continuous wave mode with 50 % emission cycle. The beam spot size at the target tissue was 0.8 mm. The pain score pre-operative, during and immediately after laser treatment was rated 0. Whilst the pain score 1 day after surgery was rated between 0 and 2, the healing time was measured over 2 weeks. None of the patients reported post-operative complications after surgery. Patients’ perception and acceptance were rated very good. Laser dentistry is a promising field in modern minimally invasive dentistry, which enables provision of better care for children and adolescents. In this cohort study, the use of the carbon dioxide laser therapy offers a desirable, acceptable and minimally invasive technique in the surgical management of soft tissues in paediatric oral surgery with minimal post-operative complications.